Cardiac Tamponade And Hemorrhagic Stroke After Left Atrial Appendage Closure

Authors

Jessica Zhang, Beaumont Health Resident
Alec Aiello, Beaumont Health Resident
Jose Navas, Beaumont Health

Document Type

Conference Proceeding

Publication Date

10-22-2022

Abstract

A 74-year-old female with a history of atrial fibrillation, gastrointestinal bleeding, and hypertension underwent an uncomplicated Left Atrial Appendage Closure. Upon recovery in PACU, the patient was found to have a large pericardial effusion with hypotension. Cardiology team performed a bedside pericardiocentesis, after which the patient was admitted to the ICU. The following day, she developed altered mental status and was found to have a hemorrhagic stroke requiring hemicraniectomy. The present case puts in perspective the debate of continuing perioperative anticoagulation in these patients and the rarity of these complications in patients undergoing a left atrial appendage closure.

Comments

American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.

Recommended Citation

Zhang J, Aiello A, Navas J. Cardiac tamponade and hemorrhagic stroke after left atrial appendage closure. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.